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HomeMy WebLinkAbout12-31-08 (2)REV-1500 15056041158 EX (06-05) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po Box Zsosoi INHERITANCE TAX RETURN 21 08 1050 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 10092008 10141916 Decedent's Last Name Suffix Decedent's First Name M I FAILOR DEAN H (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number FILL IN APPROPRIATE BOXES BELOW 1. Original Return ^ 4 Li i d E . m te state 6. Decedent Died Testate (Attach Copy of Will) ^ 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ^ 2. Supplemental Return ^ 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) ^ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 5 F d l E T R R i . e era state ax eturn equ red ~ 8. Total Number of Safe Deposit Boxes ^ 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number STANLEY A• SMITH, ESQUIRE 717-233-5731 Firm Name (If Applicable) RHOADS ~ SINON LLP First line of address PO BOX ],146 Second line of address City or Post Office State HARRISBURG PA Correspondent'se-mail address: SSMITHa~RHOADS-SINON • COM ZIP Code L- 17108-1146 J- -, S`J ~ Lz~ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of prepan:r other than the personal representative is based on all information of which prepan:r has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE PLEASE SEE ATTACHED ADDRESS C/0 RHO & SIN N LLP PO BOX 1146 HARRISBURG PA 1'71D8-],146 SIGNATURE O R H AN R P E ATIVE DATE ~ ~ ,STANLEY A • SMITH, ESQUIRE I7- 7~ D~~ PLEASE USE ORIGINAL FORM ONLY Side 1 15056041158 6M4647 3.000 REGISTER OF WILLS USE QN}Y l c`~ ~ _ :~ {.-~ r. ~ ;~ ~ 3 ~~.~ ;; ___.. --e -; : :_ _. . 15056041158 _J ^t Estate of Dean H.. Failor Executors (Page .L) Name Donated E. Failor Address c/o Rhoads & Sinon LLP PO Box 1146 Harrisburg, PA 17108-1146 Tax ID - - Name John R. Failor Address c/o Rhoads & Sinon LLP PO Box 1146 Harrisburg, PA 17108-1146 Tax ID - - 178-16-6961 ATTACHMENT TO FORM REV-1500 Estate of: Dean H. Failor Date of Death: October 9, 2008 SS#: 178-16-6961 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. ~,.~ ~. ._.-.i 9--- Donald E. Failor, Co-Executor '~k'a.~ 15056042159 REV-1500 EX Decedent's Social Security Number Decedent's Neme:F A I L O R DEAN H RECAPITULATION 1. Real estate (Schedule A) 1. 0 • 00 2. Stocks and Bonds (Schedule B) . 2. 0 • 00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . 3. 0 • 0 0 4. Mortgages & Notes Receivable (Schedule D). 4. 0 • 00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . 5. ], 0 8 4 5 • 0 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6. 0 • 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. 81758 • 00 8. Total Gross Assets (total Lines 1-7). 8. 9 2 6 0 3. 0 0 9. Funeral Expenses & Administrative Costs (Schedule H) . 9. 6 614 , 0 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). 10. 6 4 , 0 0 11. Total Deductions (total Lines 9 & 10) . 11. 6678 • 00 12. Net value of Estate (Line 8 minus Line 11) 12. 8 5 9 2 5 • 0 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J). 13. 0 • 00 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. 8 5 9 2 5 • 0 0 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .OIL 0, 0 0 15. 0.0 0 16. Amount of Line 14 taxable at lineal ratex .oy.5 85926.00 16. 3867.00 17. Amount of Line 14 taxable at sibling rate X .12 0 , 00 17. 0 • 00 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18• 0. 0 0 19. TAX DUE 19. 3867.00 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056042159 snnasae2.ooo 15D56042159 REV-1508 EX + (fr98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & M~S\i. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF FILE NUMBER Dean H. Failor 2108 1050 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointlyowned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Sovereign Bank checking account #231372691 8,482 2 1990 Buick LeSabre Sale price at auction 1,040 3 Erie Insurance Company Refund check 37 4 Tangible Personal Property Valued per co-executors 750 5 Erie Insurance Company Refund check 193 6 AAA Refund check. 30 7 Capital Blue Cross Refund of insurance premium 313 TOTAL (Also enter on line 5 Recapitulationj $ ~ 10, 845 3w46AD 1.000 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (Fi98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT EST SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY FILE NUMBER Dean H. Failor 21 08 1050 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBE DESCRIPTION OF PROPERTY irrcLwE rre wrnE oFrrE rRANSFEREE, rHEiR RELArioNSr+iP ro DECEDErrr AND TFEDATEOFTRANSFER ATTAC:HACOW OF THE DEED FOR REAL ESTATE DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION IF APPLICABLE) TAXABLE VALUE ~~ Dean H Failor Trust under Agreement acct #20002734006 81,758 100.0000 0 81,758 TOTAL (Also enter on line 7, Recapitulation) $ 81,758 (If more space is needed, insert additional sheets of the same size) 3W46AF 1.000 REV-1511 EX+(10-06) SCHEDULE H FUNERAL EXPENSES & ANIA COMMO O T ADMINISTRATIVE COSTS TAX RETURN ANCE HER RESIDENT DECEDENT FILE NUMBER ESTATE OF Dean H. Failor 21 08 1050 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~ Malpezzi Funeral Home Funeral expense 1,642 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 4 , 2 5 0 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 4. 5. 6. 7. 1 7W46AG 1.000 City State Zip _ Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees RESERVES: Rhoads & Sinon LLP Out of pocket expenses to include: Postage - $14.97; Stock Evaluation - $3.10; Copies - $7.80; Reserve for additional expenses - $74.13 Total from continuation schedules . TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 256 90 376 6.614 LAST WILL AND TESTAMENT OF DEAN H. FAILOR I, DEAN H. FAILOR, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Wi:Ll and Testament, hereby revoking all Wills and Codicils by me at any time previously made. I am married to Edna M. Failor (hereinafter referred to as "My Spouse") and the children born of our ma.~riage are John R. Failor and Donald E. Failor (hereinafter referred to as "My Sons") . 1. TANGIBLE PERSONAL PROPERTY. I give and bequeath all of my household furniture and furnishings, automobiles, other motor vehicles; books, pictures, jewelry, china, crystal, appliances, silverware, wearing apparel, articles of household or personal use or adornment, to My Spouse, if My Spouse survives me. If My Spouse does not survive me, I give such articles to My Sons living at my death in as nearly equal shares as they shall select under the supervision of my Executor. If any s1:1ch articles cannot Page 1 of 6 Pages 431453.1 y-;:._. be fairly divided or distributed in kind in thE, opinion of my Executor, such articles shall be sold and-the proceeds thereof shall pass as a part of my residuary estate. 2. RESIDUE. I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, not disposed of in the preceding portions of this Will, to My Spouse, if My Spouse survives me. If My Spouse does not survive me, I give, devise and bequeath said rE~sidue to my issue living at my death, per stirpes. 3. SPENDTHRIFT PROVISION. No interest in income or principal of my estate shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate prior to the beneficiary's actual receipt thereof. My Executor shall pay over the net income and the principal to the beneficiaries herein designated, as their interests may appear, without regard to any attempted anticipation (except as may be speci:Eically provided herein}, pledging or assignment by any beneficiary of my estate and without regard to any claim thereto or attempted levy, attachment, seizure or other process against s<3id beneficiary. Page 2 of 6 Pages 4. SURVIVAL PRESUMPTIONS. Any person who shall have died at the same time as I or under such circurnstances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased me. 5. FIDUCIARY POWERS. In the settlE:ment of my estate, my Executor shall possess, among others, the following powers, exercisable without prior court approval, but i.n all cases to be exercised for the best interests of the beneficiaries: (a) To retain any investments I may have at my death so long as my Executor may deem it advisable to my estate so to do, including securities owned, issued or underwritten by any corporate Executor or any of its affiliates. (b} To vary investments, when deemed desirable by the Trustee, and to invest in every kind of property and type of investment, including securities owned, issued or underwritten by any corporate Trustee or any of its affiliates, or as to which such Trustee or its affiliate acts as investment advisor, as the Trustee shall deem wise. (c) In order to effect a division of the principal of my estate or for any other purpose, including any final distribution of my estate, my Executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor shall divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation among the beneficiaries. ' Page 3 of 6 Pages (d) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my estate, any or all real. or personal estate or interest therein owned by my estate severally or. in conjunction with other persons or acquired after my death by my Executor, and to consummates said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers t.o see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and.. deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in this Will. (e) To borrow money from any party, including my Executor, to pay indebtedness of mine or of my estate, expenses of administration, Death Taxes or other taxes. (f) To pay all costs, expenses, legally enforceable debts, funeral expenses and charges in connection with the administration of my estate. (g) To compromise controversies. (h) To disclaim, in whole or in part, any and all interests in property owned by me at the time of my death, including those passing to me by Will, intestacy, contract, joint ownership, operation of law or otherwise. 6. CUSTODIAN OF ESTATES. If at any time any individual under the age of twenty-one shall be entitled to receive any assets free of trust by reason of my death, whether payable hereunder, by operation of law, contract or otherwise, I Page 4 of 6 Pages appoint my Executor hereinafter named as Custodian for such individual under the Pennsylvania Uniform Transfers to Minors Act. 7. TAX CLAUSE. All inheritance, estate and similar taxes becoming due by reason of my death {"Death Taxes"), whether such Death Taxes shall be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under ITEM 2 of this Will as an expense and cost of administration of my estate. My Executor shall have no duty.or obligation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will. 8. EXECUTOR APPOINTMENT. I hereby appoint My Sons, JOHN R. FAILOR and DONALD E. FAILOR, as Co-Executors of this Will. If for any reason either of them should fail or cease to act, the other shall act or continue to act with all of the powers granted to the two of them. All references in this Will to my "Executor" shall refer to my originally named Co-Executors, or the sole surviving Executor, as the case may be. 9. WAIVER OF BOND. My Executor shall qualify and serve without the duty or obligation of filing any bond or other security. , Page 5 of 6 Pages IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages, this ~;~IIMI~ T~ 2002. / (SEAL) Dean H. Fail r We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and. seals the day and year above written, and we certify that at the time of the execution the eof, the said Testator was of sound and disposing mind and mem y. (SEAL Residin at: ~ ~,. ~ ( SEAL ) Residing at.: ~(7 C~Q~}~(' ~ ~ q~_PJ fnolc . Pro -~p25 Page 6 of 6 Pages COMMONWEALTH OF PENNSYLVANIA p ~p( ~~ SS: COUNTY OF ~YlV4~`~' ~'"~ We, DEAN H. FAILOR, ~NL~ ~ ~,~ Sium~ and JP~J~Ji~ P~I-ILIt'Kc~S' , the K Testator and the Witnesses, respectively, ~ whose names are signed to the foregoing instrument, having been sworn, do hereby declare to the undersigned officer that the Testator, in the presence of the Witnesses, signed said instrument a.s his Last Will and Testament, that he signed voluntarily, that each of the witnesses, in the presence of the Testator and of each other, sig,~ned said Will as a witness and that to the best of the knowledge of each witness, the Testator was at the time of sound mind and under no constraint or undue influence. c ~~ Dean '1. Wi e W' es Subscribed and acknowledged before me by DEAN H. FAILOR, the Testator, and subscribed and sworn to before me by ~,j~t;'y ~, Si~11T and _~'T1~11fF~P 1'%}1LIr~dOSfCy , the witnesses, 4~- ~- on this day of/~j ,( ,,~ ~ , 20C12 . / , Notary Pu~li.c J u My Commission Expires: 2oa~~a.i (SEAL ) Notarial Seal Dlone R. Robinette, Notary Public Harrisburg, Dauphin County . Nly Commission Expires Sept. 30, 2002 Member, Ponnsylvar~ta %+~s~~iation at -Votarias ,~~~~ Revocable Trust Account Ap lication LETORT An A reemer~t g } ~w~ Section 1: Appointment Of 'Name 2 (fit's[) (~ddl~~~~,iast) 4 Trustee I/We ("Setdor") appoint LeTort Management ~ Trust Company ("Trustee") to hold, as Trustee, cer- tain property or interests which Setdor has turned over to Trustee, which property or interests are set forth on Schedule attached hereto and made a part hereof, together with such property as may from time to time be delivered by Setdor and accepted by Trustee to be subject to the terms of this Agreement. Said property and the earnings thereon and apprecia- tion therein shall constitute Settlor's Revocable Trust Account ("Account"). Section 2: Account Owner Information This account is a/an: ~/ Joint Account ^ Individual Account Name 1 (fast) (middle) (last) Social Security No. or Tax Identification No. ;~ Date of Birth Telephone Number .~,. Address y City State Zip w _ ~. Social Security No. or Tax'Identification No. .,a _. '~ . Date of Birth ,~t Telephone Number :1.. t"t: _ - Address City State Zip Setdor declares that Setdor is a (please select one): QNatural person(s) ^Foreign corporation or partnership ^Domestic corporation or partnership Section 3: Account Statements Trustee shill furnish to Setdor a statement of all transactions in the Account during the period of the statement ("Periodic Statements"). Statements shall be provided: ^ Monthly Quarterly ^Semi-Annually ^Annually The Trustee shall not be liable with respect to the accuracy of the Periodic Statements, except with respect to any such transaction to which Setdor shall object, within ninety (90) days after the furnishing of the Periodic Statement, in writing to the Trustee. (A317015: } 13nless Trustee receives written objection to the Periodic Statement within ninety (90) days after the date shown on such Periodic Statement, the Periodic Statement shall be deemed approved. Approval of the Periodic Statement shall be final and binding on all persons who have an interest in the Account then or in the future. Section 4: Distributions During my lifetime, my trustee shall keep the principal invested and shall distribute the net income and the principal as follows: A. As much -even if all - of the net income and the principal as I may direct from time to time, shall be paid either to me or as I may specify; B. As much of the income and the principal of the Account as the Trustee, in its discretion, shall deem advisable for the comfort, care, support and maintenance of the individual Settlor or both Settlors of a joint account, or of any person dependent on either of them. C. Any remaining net income shall from time to time be accumulated and added to the principal. Section 5: Instructions Except as provided in Section 6 below, Trustee may rely on oral or written instructions received from the Settlor which Trustee believes were genuine and authorized. Section 6: Joint Revocable Trust Accounts In the event this is a joint account (joint account°), it shall be treated as joint tenancies with right of survivorship, or in the case of spouses, as tenancies by the entireties. In joint accounts Trustee shall collect the income and shall pay the net income to the Sectlors as joint tenants with right of survivor- ship, or in the case of spouses, as tenants by the entireties, or as the Setdors (acting jointly) may direct otherwise in writing. If this is a joint account, after the death of the first of the Setdors to die, payments maybe made only to the survivor, or in accordance with the sur- vivor's written directions. A joint account maybe terminated in whole or in part in accordance with Section 12 hereof by the Settlors (acting jointly), or by the survivor of the Settlors, in either case by written notice to the Trustee, whereupon the securities and other property as to which said termination extends shall be deliv- ered to the Setdors as joint tenants with right of sur- vivorship, or in the case of spouses, as tenants by the entireties, or as the Setdors (acting jointly) may direct otherwise in writing, or to the survivor, or in accordance with the survivor's written directions. Except where the Settlors are expressly required under this Section 6 to act jointly in writing, Trustee may rely on oral or written instructions received from either of the Settlors, which Trustee believes were genuine and authorized. The provisions of this Section 6 supersede any other provisions of this Agreement to the contrary if the Account is a joint account. Section 7: Trustef:'s Powers and Responsibilities In addition to the powers conferred by law, the Trustee shall have the following powers, to be exer- cised in its absolute discretion: A. To retain all assets received in kind as investments, without any duty of divezsification, or to sell the same upon such terms as it shall deem advisable; B. 7o invest in alt forms of property, as author- izedunder the Pennsylvania Prudent Investor Rule, including in one or more of the collective investment funds maintained by the Trustee or any affiliate, or such other assets as are acceptable to the Trustee; C. To hold shares in any registered investment company which may be advised by the Trustee and from which the Trustee or any affiliate may receive compensation as advisor; {A317015: } D. To exchange or lease for any period of time any real or personal property and to give options for sales, exchanges and leases; E. To exercise all rights of security holders including the right to vote personally or by general or limited proxy, any shares of stock; F. To register any securities in the Trustee's name or in the name of a nominee; G. To pay, compromise, settle or release any claim or controversy without court approval; H To borrow money from any source, includ- ing the Trustee or any of its affiliates, and to pledge any real or personal property pursuant thereto; I. To delegate discretionary powers; J. To make distribution in cash or in kind at current values, in undivided interests or non-pro rata shares, and without regard to income tax basis. K. To hold reasonable amounts of cash unin- vested in any bank or trust company, for such peri- ods as my trustee deems reasonable for the efficient administration of any trust hereunder. Notwithstanding the foregoing, the Settlor reserves the right to instruct the Trustee in writing to retain certain assets, including stock of the Trustee, ir. a custodial capacity without any liability for reviewing the investment suitability of such desig- nated assets and further reserves the right to vote the stock of the Trustee or its affiliate or successors. Section 8: Liability and Indemnification Trustee shall be liable only for its recklessness or willful misconduct. Trustee shall not be liable for any incidental, consequential or punitive damages, regardless of their cause or whether Trustee was aware of the possibility of these damages. Trustee shall not be liable for acting upon any notice, instruction or other instrument believed by it to be genuine and delivered by an authorized individual. Trustee shall not be liable for damages from any event beyond its control. Settlor shall indemnify, defend and hold Trustee and its officers, directors, emplcryees, Trustees and representatives harmless from and against any suit, judgment, claim, demand, loss, liability, expense or interest (including legal fees and expenses) ("Losses and Expenses") arising out of or in connection with this Agreement, excluding, however, those Losses and Expenses which are finally determined by a court of competent jurisdiction to have resulted directly from Trustee's recklessness or willful mis- conduct in the performance of its obligations as described by this Agreement. This indemnification shall survive the termination of this Agreement. Trustee shall have a first priorit}~ possessory security interest in and a right of set off ;against the assets in the Account to the extent of any amount owed by Settlor to Trustee under this Agreement. This para- graph shall survive the termination of this Agreement. Section 9: Shareholder Communications In order to facilitate company/shareholder com- munications and for other similscr purposes, Settlor Authorizes /ODoes not authorize the Trustee to release Settlor's name, address, and share position of assets held in this Account to the companies (or their representatives) in which Trustee is a shareholder. Section 10: Taxpayer Certification Under penalty of perjury, Settlor certifies that - is the Settlor's correct taxpayer identification number (or that Settlor is waiting for a number to be issued), and that Settlor is not subject to backup withholding because: (a) Settlor is exempt from backup withhold- ing, or (b} Settlor has not been notified by the Internal Revenue Service ("IRS°) that Settlor is sub- (A317015: ) ject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified Settlor that Settlor is no longer subject to backup withholding. Setdor certifies that if any Setdor is a natural person, each Setdor who is a nat- ural person is a U.S. person (which includes U_S. res- ident aliens) Section 11: Compensation Trustee's compensation for its services shall be in accordance with the Trustee's standard fee arrange- ment in effect from dme to time during the period of the Trustee's services hereunder and may be charged to the Account. For any special or extraordinary services, Trustee shall be entitled to additional reasonable compensation. Trustee may provide services to certain invest- ment companies (mutual funds) as authorized by Section 7314.1 of the Probate, Estate and Fiduciaries Code, 20 Pa. C.SA. iS7314.1, and receives compen- sation known as 12b-1 fees or subtransfer agency fees from the investment companies for those servic- es. These fees are disclosed in each mutual fund prospectus and its annual statement, which are sepa- rately provided. Section 12: Amendment and Termination The Senior expressly reserves the right at any time and from time to time to amend this Agreement by written notice delivered to the Trustee provided that the duties, powers, compensation or liability of the Trustee shall not be charged in a manner other than termination without its written consent. This Agreement maybe terminated in whole or in part by either Setdor or Trustee by giving 30 days' prior written notice to the other party. Within nine- ty (90) days of termination, Trustee shall deliver the assets subject to termination to Setdor or as Setdor directs otherwise in writing. Upon the death of an individual Setdor or the survivor of the Settlors of a joint account, this Agreement shall terminate and the Trustee shall deliver the assets as follows: ^To the personal representative of such deceased Settlor within ninety (90) days of the deceased Settlor's death. ^To the following person or persons: .err ~- r w~ , ~'~ a~.._ __~ ~~ .ti~~r~- a'- ~~, , During any period of time after termination in which Trustee continues to have custody of assets subject to termination, Trustee shall have no duties other than the safekeeping of such assets and deliv- ery of such assets upon Settlor's instruction. Trustee shall have [he right to continue to charge fees in the amount then currently charged ito the Account for atrypnst-termination period in which assets subject to termination remain in Trustee's custody and to debit such fees from the Account. Section 13: Trustees Trustee may execute any of its powers under this Agreement and perform the duties required of the Trustee by and through attorneys, sub-custodians, Trustees, affiliates or subsidiaries. The Trustee shall noc be responsible for the perfotznance or supervi- sion of or liable for the default or negligence of any such person selected by Trustee with reasonable care or of any broker or Trustee engaged in the purchase, sale or exchange of any asset. Section 14: Choice of Law The Agreement and the Account hereby created shall be construed and governed by the laws of Pennsylvania without regard to its conflicts of law provisions. {A317015:} Section 15: Acknowledgement By signing this Revocable Trust Account Application and Agreement, Settlor agrees to the terms and conditions of the Agreement. Trustee: LeTon Man t ~ Trust Company By: Signature a Title Date: ~~ ~~-V~ .~._.,. ~t;;. ~: Account No.: ~;,~ ~ _ ' ,.., Settlor: Individual Settlor Date ~ t~ ~ PB-- ~,^ Joint Settlor Date 7'' o z. Name of corporation, partnership, Date estate, trust or other fiduciary entity By: Signature and Title (A317015: } Trust Account ~gevocasc~edule A ! l ~'I2 ~ ~~n~ ~~~ ~ ~ ~~~'~ ~ 1 tt 1 ~'~ ~~. ~~~ ~ ~ S ~~~ ~~~ ~- tp,317015:1 Estate Valuation Date of Death: 10/05/2008 Valuation Date: 10/09/2008 Processing Date: 12/1;/2008 Shares Security or Par Description High/Ask Low/Bid 1) 34014.73 Cash (CASH) 2) 2517.254 PIMCO FDS PAC INVT MGMT SER (693390304) LOW DURATION Mutual Fund (as quoted by NASDAQ) 10/09/2008 3) 2334.267 VANGUARD FIXED INCOME SECS FD (922031794) GNMA ADM Mutual Fund (as quoted by NASDAQ) 10/09/2008 Total Value: Total Accrual: Total: $81,757.85 34,014.73 9.48000 Mkt 9.480000 23,863.57 10.23000 Mkt 10.230000 23,879.55 ]'state of: Estate of Dean H Failor Report Type: Date of Death Number of Securities: 3 File ID: Failor, Dean H Mean and/or Div and Int Security Adjus=ments Accruals Value $0.00 $81,757.85 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.0.4) p ~ ~ ; ~, ~. ~*v ~AnA~% Inventory for; 312 Asbury Drive - DEAN H. FAILOR 3 - Lazy Boy Rocking Chairs -'15.00 1 - T.V. Entertain tent Center - SO.0~ 1 - Swivel Chair -2,5.00 1 - Double Bed with Box Springs and Mattress-floo.oo ~ 1 - 3-seat Glider - 2 Chairs - End Table - Glass Top <:offee Table - ~~•oo ( Iron Stone Furniture Set ) 2 - Folding Chairs --F2.5 00 2 - Floor Lamps ~SZ5.oo 1 - Table Lamp - 5•~ 4 - T. V. Trays-~5•ab 4 - Outdoor - Patio Chairs 5.00 2 -Foot Stools -~`ia•Oo 1 - Ironing Board-'`3.00 2 - Clock Radios -Flo-mod 1 - Card Table -fZ•oo 1 n,~Metal ~~.Cabinet ~ X15.00 1 - Step Ladder -~5. co 1 - Garden Hose -~ 1. o0 1 - Rake - ~1. oo ,~ 1 - Wooden T.V. Stand - 1• oo •~ 1 - Large Framed Art Piece -- 5.00 1 - Electric Hair Clippers X2.00 1 - Set of Corning Ware Dishes - 15.00 10 -Mugs - YI o . oo y! 1 - Electric Tea Kettle - Z.oo 1 - Glass Cookie Jar - y1.00 1 - Set of .Silverware ~ 5 .co ~ 1 - Set of Everyday Dishes - 16.00 1 - Coffee Maker -rtS.oo ~( 1 - Pair Men's Gol f. Shoes - S. o0 1 -Metal Stand - Z•oo 4[ 2 - Hunter Ceiling Fans - (00.00 1 - Vanity Rack - lo.oo •~ 2 - 4-tier Plast~c Storage Shelves - S.oa 1 - Step Stool - 3• ~o Planting Pits . S. oo Baskets -- Io • 0O r Blanketsd/Sheets- 15.a O Misc... r1~j•oO ~~~a~ . ~~150. Donald E. Failor, xecutor l- Cll. ~~ o~~~b~~ ~5 ,~~ao~ ~- 1~~v~u~~~ . _ . .. -~ ~; ~, _ _. . Estate of: Dean H. Failor Schedule H Part 7 (Page 2) 2 Cumberland Law Journal Legal advertising 3 Patriot News Legal advertising 4 Sovereign Bank Fee for check book 5 RESERVES: Cumberland County Register of Wills Reserve for additional probate expenses 21 08 1050 75 204 47 50 Total (Carry forward to main schedule) 376 REV-1512 EX + (12-03) SCHEDULEI COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ~ ESTATE OF FILE NUMBER Dean H. Failor 21 08 1050 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. 3wasaH 2.000 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Dean H. Failor 2108 1050 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Donald E. Failor 1784 Autumnwood Drive Mechanicsburg, PA 17055 50~ of Residue: 42,963 Son 42,963 2 John R. Failor 100 Hilltop Road Boiling Springs, PA 17007 50~ of Residue: 42,963 Son 42,963 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR W HICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ $ 0 (If more space is needed, insert additional sheets of the same size) 3 W 46AI 1 .000 ~ "' ~, ,a p~~ ~~~ tC~" ~ ~ M ~ ~~'Z ~n U ~ a ~~~? N ~? 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